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PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 - www.evereltwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />SITC ltDDRESS <br />13ll0 BoLhell Everett Nwy SE <br />l[GAL LOT NO. BLOCK <br />DESC. <br />Capital Develo�ment <br />TENANTNAME <br />Walgreen's <br />CONI'RAC70R <br />Plumb Signs Inc <br />CONTR. LICENSE M <br />USE OF BUILDING <br />PARCEL TAX I.D. # <br />302805-�1•-068-0008 <br />B -as _a <br />PERMIT # � <br />� �,�;�- � <br />P.O. IIox 3987, Lacey, WA 98509 (360)991-5850 <br />ICONTACTFORPERMIT PHONE <br />Connie Guffey (253)4'13-332? x10 <br />ADDRE55 CI?YIZIP PHONE <br />�09 S. 28Ch St., Tacoma, 98409 (253)973-3323 <br />PLUM'3SI077QS <br />Drt.g Store�Retail <br />EXp. 11/10/07 <br />HEATSOURCE <br />Eleclric Gas Olher <br />CONTRACT PRICE OF WORK <br />2,500 <br />WORK DESCR�rTION <br />Rem�vo- existi��g manual readerboard from monument sign and <br />ins:al.l electronic LED message cenCer <br />N J. <br />PLUMB{NG <br />TVPE OF FIX i URE OR ITEM <br />To�let <br />Balhlub <br />La�afory (wash basin) <br />Shcwer <br />Kitcnen sink 8 Aisposal <br />Dishwasher <br />Clcl!ies washer <br />Laundrylny <br />Sink (service/bar/mop/etc �� <br />O�ck9oiv prevenler <br />Urinal <br />Drink�ng Fountai�? <br />Floor drain <br />Grr,as=_ �rap <br />Roo� Cn ins <br />Other <br />MEGHANICAL <br />NO. I TYPE OF FI%TURE OR ITEM <br />A/C — air handling unils <br />Forced air syslems <br />Gas pipin9 <br />Water heater <br />Gas fireplace <br />Gns ranyr, <br />Clothes dryer <br />Range hood <br />Exhaus� fan <br />�'�, Heal pump <br />� Uni� healer <br />Boiler <br />Refrigeration <br />'Nondstove <br />Olher <br />CITY OF EVERETT LOCAL SALES TAX CODE IS ?105 <br />I hereby ceritify ihal I have re�d and examined Ihis application and know the s�me to be true and correcl All provisions of laws and <br />ordinaces go�;erning �his type of wark will be complied wi�h whether specified herein cr noL Th� yranling of a permi� does no� presume <br />to give authorily to violate or cancel the provision of any olher state or 1oc21 law regulating construc'�on or Ihe performance of <br />constrcclion. Thit 1 am authorized by the owner of this properry lo perform ihe work for which applicalion is made 2nd I comply wilh lhe <br />Stalr o Iractors Law 1827 CW and 29f200 WAC. � <br />� ' "�' i�/� , �� 8/22/OG � �C`;7l �� V L� �� � � <br />/ %Ly C.`<' <br />Ignature o! O�vredConiraclod uthonzed nt Dalo I_r� <br />_ - ------- ----- - - pUG ^ w 700fi � <br />_ ., <br />i.:lt�r E31- C�.�cyCY7�. <br />(O�JI!P'F���l li'1 b���' i �:.gs <br />9. �P. • r•': . � <br />